FDA Adverse Event Summary report: N

INSYNC MAXIMO

MDR report key: 1182307 · Received September 17, 2008

Report

Report Number
1182307
Date Received
September 17, 2008
Date of Event
July 17, 2008
Report Date
September 15, 2008
Manufacturer
MEDTRONIC INC.
Product Code
LWS
Report Source
User Facility report
Reporter Location
MI, US

Narratives

Description of Event or Problem · 1

HIGH CAPTURE THRESHOLDS. LENGTH NOT LONG ENOUGH FOR OPTIMAL CORONARY SINUS POSITIONING. OUTER DIAMETER TOO LARGE FOR OPTIMAL CORONARY SINUS POSITIONING. PATIENT IS A 67 YEAR OLD MALE WITH MULTIPLE COMORBIDITIES AND UNDERWENT BIVENTRICULAR AUTOMATIC IMPLANTABLE CARDIOVERTER DEFBRILLATOR IMPLANT IN 2005. HE STATES THAT HE HAS BEEN FEELING MORE FATIGUED AND SHORT OF BREATH LATELY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INSYNC MAXIMO ICD LWS MEDTRONIC INC. 7303 NA
2 SPRINT FIDELIS LEAD WIRE, ICD LWS MEDTRONIC INC. 6949-65 NA
3 ATTAIN LEAD WIRE, CRT LWS MEDTRONIC INC. 4193-88 NA

Patients

Seq Age Sex Outcome Treatment
1 67 YR